Individual provider Active NPI

Nicole Theresa Rees, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1093372070
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61274889 Issued in WA
Practice address
3815 S Othello St
Seattle, WA 98118-3510
Phone
(206) 788-3500
Fax
(206) 788-3521
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2019-0048 NM
Pediatric Nurse Practitioner 363LP0200X PA19315 TX
Physician Assistant 363A00000X PA61274889 WA Primary

Addresses

Primary practice location

3815 S Othello St
Seattle, WA 98118-3510

Mailing address

3815 S Othello St
Seattle, WA 98118-3510
Phone (206) 788-3500

Other practice location 1

1050 140th Ave NE Ste A
Bellevue, WA 98005-2972
Phone (425) 373-3000

Other practice location 2

16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone (206) 533-2600

Other practice location 3

720 8th Ave S
Seattle, WA 98104-3032
Phone (206) 788-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006003499 WA Practitioner - Physician Assistant 6507242013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3815 S Othello St
FL 2
Seattle, WA 98118-3510
Phone (206) 788-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2019-0048NMMDPhysician Assistant
PA19315TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physician Assistant CurrentSince Sep 14, 2022 Accepting new patients
Multicare Health System CurrentSince Sep 14, 2022 Accepting new patients
International Community Health Services Physician Assistant Past Accepting new patients
After Hours Pediatrics PC Past Accepting new patients
International Community Health Services Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1093372070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3500",
            "fax_number": "206-788-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 140th Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052972",
            "country_code": "US",
            "telephone_number": "425-373-3000",
            "fax_number": "425-373-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16549 Aurora Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981335308",
            "country_code": "US",
            "telephone_number": "206-533-2600",
            "fax_number": "206-788-3642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043032",
            "country_code": "US",
            "telephone_number": "206-788-3700",
            "fax_number": "206-788-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REES",
        "first_name": "NICOLE",
        "middle_name": "THERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2019-0048",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "PA19315",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61274889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.